Individual
RACHEL MANNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23231 WOODWARD AVE, FERNDALE, MI 48220-1361
(248) 581-8777
Mailing address
23231 WOODWARD AVE, FERNDALE, MI 48220-1361
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STUDENT
SLIDING SCALE FEE
MI
Enumeration date
12/11/2021
Last updated
12/11/2021
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